Structured interview questions (79) -202 1 Tianjin medical and health care

It took 1 hour to register and queue, and 1 hour to do all kinds of tests, but in the end, it took less than 3 minutes to communicate with the doctor in the clinic? Some people sum up this phenomenon as people seeking medical treatment? 1 13 phenomenon? . What do you think of this?

Key points of answering questions

1. Summarize the phenomenon and give a negative evaluation.

? Queue 1 hour, check 1 hour, see a doctor for 3 minutes? Behind the helpless fact is the shortage and uneven distribution of medical resources in China.

Analyze negative effects

(1) Shortening the time for each patient to see a doctor Although it improves the efficiency of seeing a doctor on a macro level, the communication between doctors and patients cannot be sufficient, which affects the treatment effect. (2) Some patients will think that doctors don't pay attention to their illness, not doctors but machines, which further worsens the doctor-patient relationship. (3) Doctors' long-term overwork has affected the quality of doctors' medical services, which is not conducive to improving their work enthusiasm. (4) Too many examinations increase the medical burden of patients.

Analyze the reasons

(1) It is true that some doctors have a bad attitude and have a short time to see a doctor, so they end the consultation without solving the patient's problems, but most doctors are not hasty in seeing a doctor, but their tasks are too heavy. (2) People don't trust the medical level of the primary medical structure. No matter whether it is a serious illness or not, it is to go to a big hospital to see a doctor, which leads to the overcrowding of big hospitals and the phenomenon that the queue is too long but the diagnosis and treatment time is short. (3) At present, the doctor-patient relationship is tense. In order to avoid misdiagnosis and missed diagnosis and reduce unnecessary medical disputes, some doctors require patients to have a comprehensive examination and record the medical process. Defensive inspection? .

The fourth step is to put forward countermeasures

(1) Actively promote the graded diagnosis and treatment system and advocate? Primary consultation, two-way referral? Make full use of primary medical resources, reduce the medical burden of large hospitals, and alleviate? Difficult to see a doctor? Question (2) Strengthen the capacity building of primary health care. Strengthen the training of primary medical talents, encourage high-quality talents to sink, and at the same time increase the equipment investment of primary medical institutions, improve the hardware level, and comprehensively improve the medical capacity of primary medical institutions. (3) Hospitals can use internet plus and artificial intelligence to promote the full-course appointment service for general outpatient service on the basis of full-course appointment for mature expert outpatient service. Patients only need to register at the appointment time and pay the fee, and patients registered on site can join all the appointment time at any time, which reduces the waiting time of patients and avoids on-site detention. At the same time, limit the daily plus sign source to ensure the patient's medical treatment time and improve the quality of treatment. (4) strengthen the construction of medical ethics, and at the same time strengthen the implementation of the medical fee control policy, and resolutely crack down on hospitals? Overcheck? Phenomenon. (5) Increase the government's investment in the medical field, improve the total amount and quantity of medical resources in China, meet the medical needs of the people, and at the same time strengthen publicity and guidance to improve the doctor-patient relationship.

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